PREMIER DERMATOLOGY & SKIN RENEWAL CENTER – NPI #1912912361
Dermatology
A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases.
PREMIER DERMATOLOGY & SKIN RENEWAL CENTER is a dermatologist located in BENTONVILLE, AR. NPPES has assigned the NPI number 1912912361 to PREMIER DERMATOLOGY & SKIN RENEWAL CENTER on July 31, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207NI0002X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in Clinical & Laboratory Dermatological Immunology
The NPI profile was last updated on Sep 11, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PREMIER DERMATOLOGY & SKIN RENEWAL CENTER below.
NPI Profile for
PREMIER DERMATOLOGY & SKIN RENEWAL CENTER
(about 20 years ago)
STE 5
BENTONVILLE, AR 72712-3880 Phone: (479) 273-3376 Fax: (479) 273-3468
COO
Phone: (479) 273-3376
Identifiers for PREMIER DERMATOLOGY & SKIN RENEWAL CENTER
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| other | NPI - MILDRED CLIFTON, MD | AR | 1679521405 |
| other | QUALCHOICE | AR | 03060015000 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207NI0002X - Dermatology / Clinical & Laboratory Dermatological Immunology (Primary) |
AR | |
| 207NS0135X - Dermatology / Procedural Dermatology |
AR | E3363 |
| 207NP0225X - Dermatology / Pediatric Dermatology |
AR | E3363 |
| 207N00000X - Dermatology |
AR | E3363 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.